Day1 Health Executive PlanFrom R760 per month

*Please note that a co-payment of R75.00 will apply after your 5th GP visit as from 01 January 2016.

DAY TO DAY BENEFITS INCLUDING

Unlimited Managed Doctor Visits

Via a registered 1Doctor Health Network Provider. A copayment of R75.00 will apply for all additional visits after the 5th visit. 1 Month Waiting period applies

Specialist Benefit

Specialist Benefit of up to R1000 per family per annum. Subject to pre-authorisation and referral from a 1Doctor Health Network GP. 6 Month Waiting period applies.

Acute & Chronic Medication

Both acute and chronic medication are covered according to the 1Doctor Health formulary. A 3 month waiting period applies on chronic medication for unknown conditions and 12 months waiting period on pre-existing conditions.

Optometry (Spec-Savers)

One eye test and one set of glasses every 24 months per the specific Spec-Savers agreed protocol range. A 12-month waiting period applies.

Out-of-Area Visits

In the event that you cannot see your Network GP, the Plan will allow 3 “out of area” visits per family per annum to an alternative Network GP or GP of your choice,
subject to pre-authorisation.

Pre-paid Preventative Healthcare supplied by 1Doctor Health (Pty) Ltd

*Waiting periods per benefit

HOSPITAL PLAN BENEFITS INCLUDING

In-hospital Illness Benefit

Covers up to R10,000 for the first day in hospital, up to R10,000 for the second day in hospital, up to R10,000 for the third day in hospital. Thereafter R2,000 per day up to a maximum of 21 days per illness event. 12 months pre-existing conditions exclusion applies.

Illness Top-up

Up to R25,000 per insured person per year subject to an overall limit of 2 events per family policy per annum. A 3 month waiting period applies

Accident/Trauma Benefit

Up to R250,000 per single member per incident and up to R500,000 per family incident. Immediate cover.

Dread Disease Benefit

1 Incident per family per annum
Dread Disease up to R250,000, however the benefit is limited to R50,000 unless the insured person accedes to a short medical examination (at their own cost) to be arranged by Day1 Health.

Accidental Permanent Disability Benefit

R250 000 for the Principal Member only. Single event only. Immediate cover.

Day1 Health complies with the principles of open enrolment, community rating and cross-subsidisation and does not discriminate or refuse membership on the basis of race, age, gender, marital status, ethnic or social origin, sexual orientation, pregnancy, disability, state of health, geographical location or any other means of discrimination.